Grays Harbor Pediatrics, Pllc

LBN: Grays Harbor Pediatrics, Pllc
Grays Harbor Pediatrics, Pllc is an health care organization with primary practice located at 611 N F St Suite 201, Aberdeen WA 98520-2667. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Grays Harbor Pediatrics, Pllc can be contacted via phone (360) 533-7677, or through Magsalay, Edgardo C via phone (360) 533-7677.

Contact Information

Primary practice address
611 N F St Suite 201 Aberdeen WA 98520-2667
Phone: (360) 533-7677
Fax: (360) 533-0470
Website:
Map and Directions
Authorized official contact:
Name: Magsalay, Edgardo C Doctor of Medicine (MD)
Phone: (360) 533-7677

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1104971845
LBN Legal business name Grays Harbor Pediatrics, Pllc
DBA Doing business as
Authorized official Magsalay, Edgardo C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 19th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104971845 NPPES
Washington MEDICAID 7131519

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